Individual
MRS. JULIE M FUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3 FIELDSTONE DR, SOMERVILLE, NJ 08876-1758
(732) 597-4181
Mailing address
3 FIELDSTONE DR, SOMERVILLE, NJ 08876-1758
(732) 597-4181
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22HI00905000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22HI00905000
STATE DENTAL HYGIENE LICENSE
NJ
Enumeration date
06/13/2022
Last updated
06/13/2022
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